# LAFAYETTE GENERAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAFAYETTE GENERAL HEALTH SYSTEM, INC.
- **Other names:** Lafayette General Pinhook Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114315330
- **Legal business name:** LAFAYETTE GENERAL HEALTH SYSTEM, INC.
- **Authorized official:** DAVID L CALLECOD (PRESIDENT, EVP)
- **Authorized official phone:** (337) 289-7610

## Contact information

- **Practice address:** 1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
- **Practice address phone:** (337) 289-7991
- **Mailing address:** 1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
- **Mailing address phone:** (337) 289-7991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7001 | LA | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014